Monitoring the Cost and Affordability of a Healthy Diet within Countries: Building Systems in Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam

IF 3.8 Q2 NUTRITION & DIETETICS Current Developments in Nutrition Pub Date : 2024-10-01 DOI:10.1016/j.cdnut.2024.104441
Anna W Herforth , Rachel Gilbert , Kristina Sokourenko , Tehreem Fatima , Olutayo Adeyemi , Dawit Alemayehu , Eunice Arhin , Fantu Bachewe , Yan Bai , Imran Chiosa , Tirsit Genye , Hagos Haile , Raja Jahangeer , Joyce Kinabo , Fulgence Mishili , Chioma D Nnabugwu , John Nortey , Bernice Ofosu-Baadu , Adeyinka Onabolu , Daniel Bruce Sarpong , William A Masters
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Abstract

Background

Governments around the world collect food price data on a frequent basis, often monthly, for the purpose of monitoring inflation. These routine economic data can be used with a nutrition-sensitive lens for understanding economic access to a healthy diet. The Food and Agriculture Organization of the United Nations has adopted the cost and affordability of a healthy diet (CoAHD) for annual tracking alongside other food security indicators. This indicator is relevant in many countries for informed decision-making and accountability toward Food Systems Summit pathways. National governments may wish to include this indicator in their own monitoring systems, using existing subnational price and income data.

Objectives

We describe emerging systems in several countries for monitoring CoAHD and analytical tools that facilitate the calculation of CoAHD. We discuss reasons why the indicator may differ when calculated using subnational data compared with the global monitoring system and how to interpret differences.

Methods

Between June 2016 and February 2024, 19 workshops were held in 7 countries (Ethiopia, Ghana, Malawi, Nigeria, Pakistan, Tanzania, and Viet Nam), where stakeholder discussions covered sources of food price data, institutions involved, policy uses, and direct training in calculation of CoAHD. Food price data collected by national organizations were used to calculate CoAHD in partnership with government agencies.

Results

Calculating CoAHD using subnational data uses the same methods across settings, but the mechanisms for monitoring and dissemination are different in each country, illustrating heterogeneity in how the metric can most effectively be incorporated within existing structures. Results from national and global monitoring systems have expected differences based on data sources, healthy diet standards, and affordability standards.

Conclusions

CoAHD can be calculated with existing data and resources, facilitated by new software tools and user tutorials. In the future, it can be further streamlined, leveraging technical assistance from global institutions and aligning national and global monitoring systems.
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监测各国健康饮食的成本和可负担性:在埃塞俄比亚、加纳、马拉维、尼日利亚、巴基斯坦、坦桑尼亚和越南建立系统
背景世界各国政府经常收集食品价格数据,通常是每月一次,目的是监测通货膨胀。这些常规经济数据可用于从营养敏感的角度来了解健康饮食的经济可得性。联合国粮食及农业组织采用了健康饮食的成本和可负担性(CoAHD),与其他粮食安全指标一起进行年度跟踪。这一指标与许多国家的知情决策和实现粮食系统首脑会议途径的问责制相关。各国政府可能希望利用现有的国家以下各级价格和收入数据,将这一指标纳入本国的监测系统。我们讨论了使用国家以下各级数据计算的指标与全球监测系统相比可能存在差异的原因,以及如何解释差异。方法在 2016 年 6 月至 2024 年 2 月期间,在 7 个国家(埃塞俄比亚、加纳、马拉维、尼日利亚、巴基斯坦、坦桑尼亚和越南)举办了 19 次研讨会,利益相关者讨论的内容包括食品价格数据的来源、相关机构、政策用途以及计算联合反饥饿和营养不良的直接培训。结果利用国家以下各级数据计算联合反饥饿活动的方法在不同情况下使用相同的方法,但监测和传播机制在每个国家都不同,这说明在如何将该指标最有效地纳入现有结构方面存在差异。基于数据来源、健康饮食标准和可负担性标准,国家和全球监测系统的结果存在预期差异。今后,可利用全球机构的技术援助,进一步简化计算,并使国家和全球监测系统保持一致。
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来源期刊
Current Developments in Nutrition
Current Developments in Nutrition NUTRITION & DIETETICS-
CiteScore
5.30
自引率
4.20%
发文量
1327
审稿时长
8 weeks
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